=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760163851
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SLOAN MORGAN, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/31/2023
-----------------------------------------------------
Last Update Date | 07/31/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6819 HIGHWAY BLVD STE 660
-----------------------------------------------------
City | KATY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77494-8299
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-371-6876
-----------------------------------------------------
Fax | 281-751-6995
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6819 HIGHWAY BLVD STE 660
-----------------------------------------------------
City | KATY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77494-8299
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-371-6876
-----------------------------------------------------
Fax | 281-751-6995
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SLOAN JENKINS
-----------------------------------------------------
Credential | AUD
-----------------------------------------------------
Telephone | 281-371-6876
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------